Individual
DEJA MONIQUE FARRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10926 113TH AVE SW, TACOMA, WA 98498-1465
(530) 906-1319
Mailing address
10926 113TH AVE SW, TACOMA, WA 98498-1465
(530) 906-1319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60985494
WA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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